| NPI | 1982473781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F08231284) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-04-08 |